Provider Demographics
NPI:1225544174
Name:RODRIGUEZ CAPELES, HECTOR I (PSYD)
Entity Type:Individual
Prefix:
First Name:HECTOR
Middle Name:I
Last Name:RODRIGUEZ CAPELES
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:M5 CALLE OPALO
Mailing Address - Street 2:URB RIVIERAS DE CUPEY
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-235-1781
Mailing Address - Fax:
Practice Address - Street 1:URB SANTA ROSA
Practice Address - Street 2:11-16 CARR 174
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-460-1327
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-14
Last Update Date:2018-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5983103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical